Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $165.96	Professional		$19.05	$22.91	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $33.11	Professional		$15.85	$31.62	$33.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $36.31	Professional		$23.99	$30.20	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $39.81	Facility		$37.15	$38.90	$39.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $33.88 / $52.48	Facility		$3.16	$33.88	$52.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.47 / $33.88	Professional		$3.16	$4.47	$33.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.24 / $3.24	Professional		$2.63	$3.24	$3.24
United Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $12.88 / $29.51	Facility		$0.22	$12.88	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $36.31	Professional		$17.78	$19.05	$36.31